Free JV-575.v2.092906.xyz.ofm - California

JV-575
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name):

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

CHILD'S NAME: CHILD'S DATE OF BIRTH:

CASE NUMBER:

RELATED CASES (if any):

PETITION TO OBTAIN REPORT OF LAW ENFORCEMENT AGENCY 1. Petitioner's name and address (if representing another person, organization, or agency, provide names and addresses):

2. Petitioner's relationship to child (if any):

3. Police department or law enforcement agency possessing records:

Report number: 4. The reasons for this request are: (Describe in detail. Attach additional pages if necessary.)

Continued in Attachment 4. 5. The Notice to Child and Parent/Guardian Re: Release of Juvenile Police Records and Objections (form JV-580) was served on the child or parent on (date):

I declare under penalty of perjury under the laws of the State of California that the foregoing and all attachments are true and correct. Date:
(TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)

Number of pages attached: PETITION GRANTED ADDITIONAL ORDERS: Date:
JUDICIAL OFFICER Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California JV-575 [Rev. January 1, 2007]

PETITION DENIED

PETITION TO OBTAIN REPORT OF LAW ENFORCEMENT AGENCY

Welfare and Institutions Code, §§ 827.9, 828; Cal. Rules of Court, rules 5.504, 5.552 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com